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Criterion
Blameless Postmortem workspace showing the question, observations, and next decision.
DevOps
Blameless Postmortem
Paper illustration for Future Reality Tree.
Systems Thinking
Future Reality Tree
Paper illustration for Causal Factor Analysis.
Operations
Causal Factor Analysis
A 5 Whys working surface connects an observable problem with evidenced causes, marked uncertainty and concrete countermeasures with ownership.
Operations
5 Whys
Purposedifferent
After an incident with damage or a near miss, the method creates a sober field for learning without assigning blame. It directs attention to the course of events, conditions, and effective countermeasures.A Future Reality Tree shows how desired actions are meant to lead to a better system state. The method checks whether a path of change holds together logically before time flows into implementation.For an event with a complicated course, the method breaks down the contributing factors along the timeline. It shows how conditions, decisions, and reactions together produce a course of events.For a single, hard-to-explain deviation, the method exposes the causal chain behind the visible symptom. It keeps the cause open until a controllable condition emerges instead of a mere description.
Complexitydifferent
MediumHighHighLow
Timedifferent
30-90 min2-4 h2-6 h15-30 min
Participantsdifferent
3-123-83-102-6
Formatdifferent
Workshop + asyncWorkshopWorkshop + asyncWorkshop
Outputdifferent
Postmortem Doc, Action Items, TimelineFuture Reality Tree, Negative Branches, Assumption List, Improved InjectionsEvent Timeline, Causal Factor Chart, Cause List, Corrective ActionsRoot cause notes, Countermeasures
Tagsno overlap
Site Reliability EngineeringIncidentLearningReliability
Theory of ConstraintsSystems thinkingChange
CausalityIncidentRoot causeTimeline
Root causeIncidentLeanProblem solving
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